What can be done about a bulbous Asian nose?

Q: Quite tired with the way my bulbous nose looks. Probably a complaint so common it sounds cliché. I know that surgery can do little to actually shape the thickness of my fat alar, so what is possible? My nose bridge tapers from nonexistent to large and amorphous, what can and should be done about that? What is realistic for my face? I’m okay with expending ‘ethnic identity’ and don’t want a mere reduction in size. Would like a new shape.

A: Reshaping the nose during Asian rhinoplasty does require a great deal of technical expertise, but is something that is done frequently by a rhinoplasty specialist experienced with Asian noses. You can achieve the changes you seek by using grafts from your own body (rib cartilage, fascia) to augment your bridge, refine your tip, and reduce the size of your ala.